关节镜下治疗前叉止点撕脱性骨折ppt课件.pptVIP

Avulsion Fracture of Anterior Cruciate Ligament ;History;Morbidity——3/100000 14％ of ACL injury Distribution of age children——8～14 years old old women——over 40 years old ;Fall injury and traffic accident——51％ Sports injuries——Skiing and football--14% ;Associated with capsule tear of meniscus or articular capsule, sometimes including medial and lateral collateral ligament injury or injury of articular cartilage;Relevant anatomical structure;Resident ridge;Resident ridge;Branching ridge;Footprints;Footprints;The anterior medial bundle is tight in flexion the posterior lateral bundle is tight in the straight position;;Diagnosis;Anterior drawer test and Lachman sign ;X-ray;CT;MRI;Meyers-McKeever classification;How to identify fresh or old fractures in imaging;Treatment;Reduction ;P - R - I - C – E program ;It used to be the most commonly treatment program to open reduction and fixed with wire;A failed case;Single tunnel fixation with steel wire and extrusion screw;No extrusion nail was found before operation;If the fracture mass is small, using Ethibond suture ;Old fracture of avulsion fracture of ACL;Wound freshness;To clean and remove all dead, damaged tissue around of the fracture mass;To introduce the wire by a lumbar puncture needle ;To thread through No. 5 Ethibond, and fix fracture with 8 tension band ;To inspect carefully;The patients were followed up for 1 month after surgery;Case 3;To use PDSii as the thread;To use PDSii as the thread;Case 4;;The bone block cannot be removed with the nucleus pulposus clamp;To remove bone mass with nucleus pulposus forceps;The picture was taken after reconstruction of anterior cruciate ligament;Postoperative X-ray;followed up for 1 month after surgery ;For a bigger fracture block, hollow screw is a good choice;Lateral meniscus (LM) is being pulled and displaced;If the fracture of the tibial plateau is combined, first of all, the fracture should be fixed;X-ray showed ACL avulsion fracture combined with tibial plateau